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A patient with respiratory distress
  1. I Krivokuca1,
  2. J-W J Lammers2
  1. 1Department of Respiratory Medicine, MC Zuiderzee Hospital Lelystad, Lelystad, The Netherlands
  2. 2Department of Respiratory Medicine, Division of Heart & Lungs, University Medical Centre Utrecht, Utrecht, The Netherlands
  1. Correspondence to Dr I Krivokuca, Department of Respiratory Medicine, MC Zuiderzee Hospital Lelystad, Ziekenhuisweg 100, Lelystad 8233 AA, The Netherlands; sciencia0{at}

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A 77-year-old male with a history of chronic obstructive pulmonary disease (COPD) and goitre presented to our emergency department with dyspnoea. The patient’s general practitioner had treated his COPD for a few days, but his symptoms persisted and he was referred for further treatment.

His RR was …

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